Patient Forms

Thank you for choosing Dr. Suresh Bharani as your child’s physician, where we always provide, caring environment so our patients and their families can feel at ease. We’ve included helpful items on this page to ensure you and your child’s first trip to our office is productive and enjoyable.

The Initial Visit

On the day of your child’s first visit to our office, we recommend arriving a few minutes early. This allows extra time for finishing up any registration forms and ensures you have plenty of time to get acquainted with our staff and office. We look forward to meeting you and joining with you to help your child maintain optimal health

We also invite you to review our staff page in order to get to know our doctors and staff. To save time you may prefer to fill out new patient form from our website and bring it with you.

Patient Forms

We are also happy to offer you the option to download, print and complete our office forms to reduce wait times during your first appointment. 

PATIENT PORTAL SIGN UP FORM:

Established Patients Update Sheet

New Patient Sheet/Office

Medical Records Release Form: Aspen Children's clinic

Authorization form for treatment of minors

Consent for Telemedicine:

In order to view or print these forms you will need Adobe Acrobat Reader installed. Click here to download it.

Insurance: 

It is always good to check on internet or calling your insurance for current updated Providers directory of your Insurance plans.

For your convenience We are adding links of some insurance companies to access the Providers directory

Blue Cross Blue Shield Link:

United Insurance Link:

Insurance Information

Plan Name Accepting new patients? Blue Cross Blue Shield PPO Yes Preferred Community Choice Yes Blue Choice PPO Yes Aetna PPO, POS, HMO Yes United Health Care Yes Cigna PPO, HMO Yes Affordable PPO Yes First Health PPO Yes Health choice Yes PPO OKLHOMA Yes Bluelink HMO Yes Community Care HMO Yes PacifiCare PPO, HMO Yes Beech Street Yes Saint Francis PPO Yes Global Health Insurance Established Patient Only Coventry Insurance Yes PHCS(Private Healthcare Systems) Yes Sooner Care Insurance ( Medicaid) Established Patients Only Medicaid Established Patients Only Tricare/Champus Established Patients Only

Hospital Affiliations Saint Francis Hospital ( Children Hospital) Hillcrest Medical Center South Saint Francis Hospital South- Broken Arrow

What to Expect

On the day of your child's first visit to our office, we recommend arriving a few minutes early. This allows extra time for finishing up any registration forms and ensures you have plenty of time to get acquainted with our staff and office. We look forward to meeting you and joining with you to help your child maintain optimal health.

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